Evergreen Endoscopy Center, LLC
Clinic/Center, Ambulatory Surgical in South Windsor, Connecticut
1093974602- Practice location
- 2400 Tamarack Avenue, Suite 100, South Windsor, CT 06074
- Phone
- 860-644-7336
- Fax
- —
- Last updated
- November 15, 2017
Evergreen Endoscopy Center, LLC is a healthcare organization based in South Windsor, CT. Evergreen Endoscopy Center, LLC practices in South Windsor, CT. The NPI Number for Evergreen Endoscopy Center, LLC is 1093974602. The current practice location address for Evergreen Endoscopy Center, LLC is 2400 Tamarack Avenue, Suite 100, South Windsor, CT 06074 and can be reached out via phone at 860-644-7336.
Provider Profile Details
- NPI Number
- 1093974602
- Provider Name
- Evergreen Endoscopy Center, LLC
- Provider Entity Type
- Organization
- Address
- 2400 Tamarack Avenue, Suite 100, South Windsor, CT 06074
- Phone Number
- 860-644-7336
- Primary Taxonomy
- Clinic/Center, Ambulatory Surgical · 261QA1903X
- Organization Subpart
- No
- Authorized Official
- William A Wollman · Executive Director · 860-533-2123
- Provider Enumeration Date
- June 9, 2008
- Last Update Date
- November 15, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2400 Tamarack Avenue
Suite 100
South Windsor, CT 06074 - City
- South Windsor
- State
- Connecticut
- Zip
- 06074
- Phone Number
- 860-644-7336
Provider Business Mailing Address Details
- Address
- 2400 Tamarack Avenue
Suite 100
South Windsor, CT 06074 - City
- South Windsor
- State
- CT
- Zip
- 06074
- Phone Number
- 860-644-7336
License Information
- Taxonomy (1)
- Clinic/Center, Endoscopy · 261QE0800X
- Taxonomy (2)
- Clinic/Center, Ambulatory Surgical · 261QA1903X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Evergreen Endoscopy Center, LLC?
The NPI number of Evergreen Endoscopy Center, LLC is 1093974602. It was assigned on June 9, 2008 and is currently active in the NPPES registry.
What is the specialty of Evergreen Endoscopy Center, LLC?
Evergreen Endoscopy Center, LLC is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X).
Where does Evergreen Endoscopy Center, LLC practice?
The practice location is 2400 Tamarack Avenue, Suite 100, South Windsor, CT 06074. The office can be reached at 860-644-7336 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093974602 directly on the NPPES registry website.